Vertebral Compression Fracture Height Loss (Genant) — free guideline decision tool
Enter anterior, middle and posterior vertebral heights (± adjacent normal posterior height): wedge, biconcave and crush height loss with Genant grade 0–3. Includes how to measure and what each value means. Instant, browser-side.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Anterior height Ha | 18 mm |
|---|---|
| Middle height Hm | 22 mm |
| Posterior height Hp | 26 mm |
| Adjacent normal posterior height (optional) | 27 mm |
→Genant grade2
- Wedge (anterior) loss:30.8 % → 25–40%: grade 2 (moderate)
- Biconcave (middle) loss:15.4 % → < 20%: grade 0 (normal)
- Crush (posterior) loss:3.7 % → < 20%: grade 0 (normal)
Common questions
What is Vertebral Compression Fracture Height Loss (Genant)?
Enter anterior, middle and posterior vertebral heights (± adjacent normal posterior height): wedge, biconcave and crush height loss with Genant grade 0–3. Includes how to measure and what each value means. Instant, browser-side.
How is Vertebral Compression Fracture Height Loss (Genant) calculated? What is the core formula?
Wedge (anterior) loss < 20%: grade 0 (normal) Wedge (anterior) loss 20–25%: grade 1 (mild) Wedge (anterior) loss 25–40%: grade 2 (moderate) Wedge (anterior) loss > 40%: grade 3 (severe) Biconcave (middle) loss < 20%: grade 0 (normal) Biconcave (middle) loss 20–25%: grade 1 (mild) Biconcave (middle) loss 25–40%: grade 2 (moderate) Biconcave (middle) loss > 40%: grade 3 (severe) Crush (posterior) loss < 20%: grade 0 (normal) Crush (posterior) loss 20–25%: grade 1 (mild) Crush (posterior) loss 25–40%: grade 2 (moderate) Crush (posterior) loss > 40%: grade 3 (severe)
When is Vertebral Compression Fracture Height Loss (Genant) used?
Spine imaging: standing full-spine films, flexion/extension views, CT/MRI — scoliosis follow-up, adult deformity, stenosis reporting and surgical planning.
What are the key clinical points for Vertebral Compression Fracture Height Loss (Genant)?
Lateral thoracolumbar radiograph or sagittal CT. Each value is graded against published reference ranges. Measurement technique and positioning change the numbers — compare like with like on follow-up. Part of the YuanDoctor MSK measurement topic.
What are the limits and cautions when using Vertebral Compression Fracture Height Loss (Genant)?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
Does Vertebral Compression Fracture Height Loss (Genant) upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is Vertebral Compression Fracture Height Loss (Genant) calculated in practice? Can you show a worked example?
Inputs: Anterior height Ha 18 mm, Middle height Hm 22 mm, Posterior height Hp 26 mm, Adjacent normal posterior height (optional) 27 mm → Result: Genant grade 2(Wedge (anterior) loss: 30.8 % → 25–40%: grade 2 (moderate), Biconcave (middle) loss: 15.4 % → < 20%: grade 0 (normal), Crush (posterior) loss: 3.7 % → < 20%: grade 0 (normal))
Run Vertebral Compression Fracture Height Loss (Genant) now
Enter anterior, middle and posterior vertebral heights (± adjacent normal posterior height): wedge, biconcave and crush height loss with Genant grade 0–3. Includes how to measure and what each value means. Instant, browser-side.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
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